Rebekah Lillian Furniss

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

754 N Main St
Tooele, UT 84074-1612

Phone

(435) 228-6523

NPI assigned

Apr 29, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinical Consultants Limited Liability Company

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Jordan, UT
  • NPI 1306010574
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1457096869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741612",
            "telephone_number": "435-228-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741612",
            "telephone_number": "435-228-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURNISS",
        "first_name": "REBEKAH",
        "middle_name": "LILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "clinicalconsultants.org",
            "affiliation": "N",
            "address_1": "754 N Main St",
            "city": "Tooele",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840741612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Felisha Folkers
• Helen Marie Fontecchio
• Carolyn Forbes, M.D.
• William Fowles, BHCM
• Elsa Frausto
• Camillia Gallegos
• Mary Gallen
• Ana Garcia, LMT
• Jessica Renee Garcia, MFT
• Kylie Gardner

• Clinical Social Worker in Tooele, UT
• Providers in Tooele, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.